NPIMap

Organization Active NPI

Tift Regional Health System Inc

Doing business as Southwell Specialty Clinic Adel

  • Cardiovascular Disease Physician
  • Adel, GA
National Provider Identifier
1750215323
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TIFT REGIONAL HEALTH SYSTEM INC
Doing business as
Southwell Specialty Clinic Adel
Practice address
150 MJ Taylor Rd
Adel, GA 31620-3497
Phone
(229) 896-8440
Fax
(229) 635-5275
NPI assigned
Jun 10, 2026
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Dorman
Title
Ceo/President
Phone
(229) 353-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

150 MJ Taylor Rd
Adel, GA 31620-3497

Mailing address

PO Box 2650
Tifton, GA 31793-2650
Phone (229) 402-0425

Other names 1

  • Southwell Specialty Clinic Adel Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tift Regional Health System Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

150 Mj Taylor Rd
Adel, GA 31620

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1750215323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317932650",
            "telephone_number": "229-402-0425",
            "fax_number": "229-391-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MJ TAYLOR RD",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316203497",
            "telephone_number": "229-896-8440",
            "fax_number": "229-635-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFT REGIONAL HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "229-353-6121"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwell Specialty Clinic Adel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adel, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.